How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,512 to $7,079Professionalmedian $1,549 · 10th to 90th $1,122 to $2,754
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $15,848.93 | Facility | None | $2,398.83 | $3,890.45 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,513.56 | $1,995.26 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,951.21 Typical High $4,265.80 | Professional | 50 · Both sides | $1,949.84 | $2,951.21 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,258.93 Typical High $1,778.28 | Professional | 62 · Two surgeons | $812.83 | $1,258.93 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $316.23 Typical High $457.09 | Professional | 80 · Assistant surgeon | $208.93 | $316.23 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $275.42 Typical High $398.11 | Professional | AS · PA/NP assist | $181.97 | $275.42 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,162.28 Typical High $3,981.07 | Facility | None | $630.96 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,548.82 | $3,162.28 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $8,511.38 | Facility | None | $2,691.53 | $3,890.45 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,548.82 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $8,511.38 | Facility | None | $2,691.53 | $4,786.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,412.54 | $2,511.89 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $501.19 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $758.58 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $151.36 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $707.95 | $812.83 | $812.83 |
Where New Hampshire sits
The same service costs 18.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Hampshire· 16th of 51
$1,660
AK $4,266TX $234
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.